• Teaching Techniques & Facilities
General Surgery Residency

UCLA General Surgery Residency

General Surgery Residency
  • Home
  • About Us
    • History
    • Residency Leadership
    • Meet the Residents
    • News & Media
    • Post-Graduation Employment
  • Program
    • Teaching & Education
    • Rotations
    • Rotation Sites
  • Research
    • Research Areas
    • Research Funding
    • PubMed Search
  • Resident Life
    • Benefits
  • Equity, Diversity, and Inclusion
    • UIM Visiting Student Scholar
    • HBC Visiting Student Scholar
    • UIM MS1 Surgical Research Scholar
    • Pipeline Projects
  • For Current Residents
    • Academic Calendar
    • Rotation & Call Schedule
    • Education Resources
    • Useful Links
    • Departmental Forms
    • Policies and Procedures
  • Applying
  • Teaching Techniques & Facilities

UCLA General Surgery Residency

For Current Residents

For Current Residents

For Current Residents

  • Academic Calendar
  • Rotation & Call Schedule
    • Rotation Schedules
    • Call Schedules
  • Education Resources
  • Useful Links
  • Departmental Forms
  • Policies and Procedures
    • Morbidity & Mortality Conference
    • Gifts, Dress & Travel
    • Duty Hours & Record Keeping
    • Licensure & DEA
    • Supervision & Communication
    • Supervision by Service
    • Education Benefits and Participation
    • Case Volume & Transitions
    • Resident Wellness
  • Academic Calendar
  • Rotation & Call Schedule
  • Education Resources
  • Useful Links
  • Departmental Forms
  • Policies and Procedures
  1. Home
  2. General Surgery Residency
  3. For Current Residents
  4. Departmental Forms

Departmental Forms

Share this
 

 

UCLA Department of Surgery M&M Reporting

Please download and fill-in the Morbidity & Mortality Case Submission Forms as needed.

M & M Forms:

  • CADO Form
  • Morbidity and Mortality Event Form
  • Morbidity and Mortailty Event Forrm (Liver)
  • M&M Presentation Template (ppt)
  • M&M Stats Form

Critical Event Form:

  • Critical Event Form

GME Forms:

  • ACLS Certification
  • CPC-Direct Enrollment Information
  • Anthem Enrollment
  • Computer Access
  • Criminal Background Check
  • Delta Dental
  • Hep B Declination
  • HEPVAC Letter
  • House Staff ID Record
  • Life Insurance Enrollment
  • Live Scan
  • MMRVAC Letter
  • MS Supplemental Application
  • Occupational Health Vaccination Instructions
  • Photo ID
  • Tdap Declination
  • USMLE Policy
  • VSP Enrollment

 Prehospital Care:

  • Direct Enrollment Instructions

Global Surgery Rotation Application:

  • Global Surgery Rotation Application

CHLA Forms:

  • Children's Hospital Los Angeles Application 2020-2021
  • CHLA Trainee Health Screening Requirements 

Harbor Forms:

  • Harbor-UCLA Application 2020 - 2021

Olive View Forms:

  • Olive View-UCLA Application 2020 - 2021

USC Burns Rotation Forms:

  • USC Burn Rotation Application 2020 - 2021

VA Forms:

  • Application for Health Professions

California Hospital Forms:

  • California Hospital Medical Center 2020 - 2021
  • CA Hospital Rotation Guide

Like Us on Facebook Follow Us on Twitter Subscribe to Our Videos on YouTube Follow us on Instagram Connect with Us on LinkedIn Follow us on Pinterest
UCLA Health hospitals ranked best hospitals by U.S. News & World Report
  • UCLA Health
  • Find a Doctor
  • School of Medicine
  • School of Nursing
  • UCLA Campus
  • Directory
  • Newsroom
  • Subscribe
  • Patient Stories
  • Giving
  • Careers
  • Volunteer
  • International Services
  • Privacy Practices
  • Nondiscrimination
  • Billing
  • Health Plans
  • Emergency
  • Report Broken Links
  • Terms of Use
  • 1-310-825-2631
  • Maps & Directions
  • Contact Us
  • Your Feedback
  • Report Misconduct
  • Get Social
  • Sitemap
Like Us on Facebook Follow Us on Twitter Subscribe to Our Videos on YouTube Follow us on Instagram Connect with Us on LinkedIn Follow us on Pinterest